RENAL RIVERA MILLER Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209013201

License Status

INACTIVE

Business

First Name

RENAL

Middle

RIVERA

Last Name

MILLER

Business Name

RENAL RIVERA MILLER

Original Issue Date

08/24/2015

Effective Date

03/28/2016

Expiration Date

05/31/2018

City

PINGREE GROVE

State

Zip

60140

County

KANE

Ever Disciplined

LastModifiedDate

03/01/2018